The Foothills is a three bedroom modern house on the outskirts of Rochdale. The service provides personal care for up to three people with a mental health illness. They provide long and short term care with a view to people achieving independent living. There is a bus route into the town centre and local shopping close by.The service were first registered in March 2014 but admitted their first person in March 2016, therefore the service had not been inspected previously.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff we spoke with were aware of how to protect vulnerable people and had safeguarding policies and procedures to guide them which included the contact details of the local authority to report to.
Recruitment procedures were robust and ensured new staff should be safe to work with vulnerable adults.
There were sufficient staff to meet the needs of people who used the service.
The administration of medicines was safe. Staff had been trained or had training planned and were supported by the registered manager in the administration of medicines and had up to date policies and procedures to follow. Their competency was checked regularly.
A person who used the service told us food was good and they helped plan the menu and shop for food. People’s weights were recorded and professional help was sought for any person who was nutritionally at risk.
Electrical and gas appliances were serviced regularly. Each person was shown the fire and evacuation procedures and there was a business plan for any unforeseen emergencies. There were regular fire alarm tests to help protect the health and welfare of people.
There were systems in place to prevent the spread of infection. Staff were trained or had training planned in infection control and provided hand washing facilities to help protect their health and welfare.
Most staff had been trained in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). The registered manager was aware of her responsibilities of how to apply for any best interest decisions under the Mental Capacity Act (2005) and followed the correct procedures using independent professionals.
New staff received induction training to provide them with the skills to care for people. Staff files showed staff had undertaken or were being provided with sufficient training to meet the needs of people and they were supervised regularly to check their competence. Supervision sessions also gave staff the opportunity to discuss their work and ask for any training they felt necessary.
We observed there were good interactions between staff and people who used the service. The person accommodated at the home thought staff were kind and helpful.
We saw that the quality of care plans gave staff sufficient information to look after people accommodated at the care home and they were regularly reviewed. Plans of care contained people’s personal preferences so they could be treated as individuals.
There was a complaints procedure for people to voice their concerns. There had not been any complaints since the service commenced operations.
People agreed to activities to help promote independence, for example, improving life skills such as cooking, shopping, cleaning and managing their own finances. There were also activities for people to enjoy such as going out, contact with friends and families, going on holiday and gardening.
Staff told us the registered manager was approachable and supportive.
Staff meetings gave staff the opportunity to be involved in the running of the home.
The manager conducted sufficient audits to ensure the quality of the service provided was maintained or improved.
The environment was maintained at a good level and homely in character.
People who used the service had regular planning sessions with staff for their activities, food and care. This meant they had chance to discuss their own wishes and choices.